LAURA JEANNE SYVERTSON

ITHACA, NY
NPI1295088979
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041S0200X Social Worker, School
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  087886)
Enumeration Date2012-10-18
Last Update Date2020-12-09
Business Address
LAURA JEANNE SYVERTSON LCSW
334 W STATE ST
ITHACA, NY 14850-5432
Phone number: 607-273-5500
Mailing Address
LAURA JEANNE SYVERTSON LCSW
400 LAKE ST
ITHACA, NY 14850-2132
Phone number: 607-274-2101